Goergen, Asheley Robyn

Goergen, Asheley Robyn is an individual health care provider with primary practice located at 9555 76Th St Ste 1200 , Pleasant Prairie WI 53158-1984. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Goergen, Asheley Robyn can be contacted via phone (262) 671-7300.

Contact Information

Primary practice address
9555 76Th St Ste 1200 Pleasant Prairie WI 53158-1984
Phone: (262) 671-7300
Fax: (262) 671-7315
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1881-23 Wisconsin

Profile Details

NPI number 1720034267
LBN Legal business name Goergen, Asheley Robyn
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated May 25th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720034267 NPPES
Wisconsin MEDICAID 42874700

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